Ty Brandon Nichols, MD | |
501 Airport Rd, Rifle, CO 81650-8510 | |
(970) 625-1510 | |
(970) 625-6486 |
Full Name | Ty Brandon Nichols |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 501 Airport Rd, Rifle, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811334303 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | DR.0058282 (Colorado) | Primary |
Entity Name | Grand River Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124074042 PECOS PAC ID: 7113837469 Enrollment ID: O20040310000898 |
Entity Name | Emergency Professionals Of Colorado Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396496469 PECOS PAC ID: 2860706967 Enrollment ID: O20150803002325 |
Entity Name | Grand River Hospital District |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1649218991 PECOS PAC ID: 7113837469 Enrollment ID: O20170113000679 |
Mailing Address | Practice Location Address |
---|---|
Ty Brandon Nichols, MD 501 Airport Rd, Rifle, CO 81650-8510 Ph: (970) 625-1510 | Ty Brandon Nichols, MD 501 Airport Rd, Rifle, CO 81650-8510 Ph: (970) 625-1510 |
Dr. Elizabeth Eden Casner, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 501 Airport Rd, Rifle, CO 81650 Phone: 970-625-1510 | |
John Nicol Willett, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 501 Airport Rd, Rifle, CO 81650 Phone: 970-625-1510 Fax: 970-625-4989 | |
Jonathan Gibans, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 501 Airport Rd, Rifle, CO 81650 Phone: 970-625-1510 | |
Dr. Kenneth Jay Eckstein, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 501 Airport Rd, Rifle, CO 81650 Phone: 970-625-6400 | |
Dr. Justin J Knight, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 501 Airport Rd, Rifle, CO 81650 Phone: 970-625-1510 | |
Dr. Lawrence F Schneider, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 501 Airport Rd, Rifle, CO 81650 Phone: 970-625-1100 | |
Eileen P Daly, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 501 Airport Rd, Emergency Dept, Rifle, CO 81650 Phone: 970-625-1510 |